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Time & Cost Savings Associated with Implementing Continua Health Alliance

Design Guidelines

Continua Health Alliance

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Continua Health AllianceThe Engine for a Plug-and-Play World

Continua is an international non-profit industry organization enabling end-to-end, plug-and-play connectivity of personal health devices, systems and services in Personal Connected Health (PCH)

200+ members: technology, medical device,telecom, health tech service & healthcareindustry leaders

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What We Do

• Develop and publish Design Guidelines that combine & apply existing standards

• Certify products, systems and services for compliance with Continua’s Design Guidelines

• Promote favorable operating climate for personal connected health (“PCH”) through advocacy & coordination

• Connect leading technology developers, innovators and healthcare organizations

• Creating a global PCH market

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How We’re Different

• Only organization convening global technology standards in PCH

• Uniquely focused on end-to-end, plug-and-play connectivity to advance the PCH ecosystem

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Where We Are Continua Adoption & Work Groups

UK (NHSWorcestershire & Eastern Shires Purchasing Organization)

Japan WG

Denmark

Singapore

SE Asia WG

Australia WG

India WG

Brazil WG

Abu Dhabi

= Gov’t Adoption of Continua

= Continua Work Group

US Veterans Administration

& US Department

of Defense

US WG

Japan

EU WG

UAE WG

Continua is also in discussions with Qatar, Saudi Arabia & Spain

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Sample of Standards Incorporated into Continua’s

Design Guidelines

Sensors

11073

PAN Transport EHRs

Continua End-to-End Architecture Includes these standards, and more

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We asked, “what is the value of adopting Continua’s Design Guidelines?”

PwC conducted a survey with a cross-section of Continua members to help us answer this

question.

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Sample Questions

Confidential – This information was prepared by PwC for the Continua Health Alliance board of directors and is restricted to that use and cannot be copied or shared without prior written consent of PwC.

$-Conversion of man-weeks are based on a yearly salary of $120k

2. Explain how Continua guidelines improve quality by more accurate & simple data integration. Please quantify.

6. What other value or benefits would you expect to experience as a result of following these guidelines?

5. What type of waste and excess do you see if you don’t deploy Continua guidelines?

4. How would you make a decision to make an investment in Continua Guidelines?

3. To what degree do the Continua guidelines decrease data integration & support costs? Please quantify.

1. Do you currently follow Continua Health Alliance design guidelines? Why?

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Case Study: Device Manufacturer

1x

4 x $15,000

≈ $65,000

3 – 4 Weeks

Continua

Background

• Costly to integrate a device or sensor before Continua guidelines in place due to a lack of interoperability.

• In three projects (sense4baby, Apollo and NIH) Qualcomm had to redo the work because phone lifecycle of one or two years ended or communication protocols changed.

• Devices: Blood pressure meter, Weight scale, Ultrasound and a Zephyr strap

1 x $5000

Source: Interviews with Clint McClellan, Mr. Rajan, Mr. Jerger, Mr. Colli (Elbrys Corporation), Mr. Koenig and Mr. Erickson

Non-Continua

3x

4 x $15,000

≈ $195,000

9 Weeks

$5,000 for testing

Confidential – This information was prepared by PwC for the Continua Health Alliance board of directors and is restricted to that use and cannot be copied or shared without prior written consent of PwC.

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Case Study: System IntegratorDisaster Cardiovascular Prevention Network (D-CAP)

Confidential – This information was prepared by PwC for the Continua Health Alliance board of directors and is restricted to that use and cannot be copied or shared without prior written consent of PwC.

Background

• A rapid remote cardiovascular monitoring capability was needed after the Great East Japan Earthquake; no off-the-shelf solution was available

• The Disaster Cardiovascular Prevention Network (D-CAP) was developed to remotely monitor the blood pressure of evacuees using products previously certified by Continua

• Devices: A&D (Automatic blood pressure monitors), Alive Inc. (Gateway firmware), Ryoto Electro Corp. (data server), Panasonic (PC), Toppan Forms (Patient ID Cards), Intel (Project coordination)

Source: Interview with Tagami Shinsuke (Intel) and Minami Kimio (Panasonic)*Figures based on actual experience, **Estimates

Time 12 weeks**incl. 30 days for connectivity

Man-weeks(1 FTE per company)

72**

Non-Continua

2 weeks*incl. 3 days for connectivity

12*

Continua

Bring down deployment time

down to 1/6

60 man-weeks or $139k saved

$166k** $27k**

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Case Study: System Integrator

Confidential – This information was prepared by PwC for the Continua Health Alliance board of directors and is restricted to that use and cannot be copied or shared without prior written consent of PwC.

Background

• Vignet is a provider of connected health solutions and certified an iPhone Mobile Manager.• Higher onetime costs to implement Continua could be offset by potential lower costs for each device.• Slow adoption of Continua guidelines and low market demand limits cost benefits and ROI in

developing a manager. Manager requires higher testing efforts to pass Continua certification than agents.

• Devices: Omron - HBF-206IT, Omron BP-792IT, A&D UC-321-C, A&D UA-767PBT-C, Nonin 9560-C

Source: Interview with Praduman Jain (PJ), Vignet Corporation

Non-Continua Continua

Higher one-time cost with Continua

Continued higher cost with Continua due to:

One time8 Weeks

2 FTE

Each new vendor/device

20 Weeks2 FTE

8 Weeks1 FTE

$40k $100k

4 Weeks 1 FTE $10k $20k • CESL bugs/hard to

use, • Effort for certification

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Case Study: Healthcare Provider

Confidential – This information was prepared by PwC for the Continua Health Alliance board of directors and is restricted to that use and cannot be copied or shared without prior written consent of PwC.

Background

• St. Vincent Health, member of Ascension Health, is currently conducting a study how mobile health can reduce readmission rates and avoid reimbursement penalties by CMS starting in Oct. 2012.

• The study, funded by a federal Beacon Communities grant, shows tremendous benefits, with 30 day readmission rates down to about 5% in the intervention group versus 20% in the control group and national average.

• The videoconferencing device used in the study is from Intel-GE, now called Care Innovations.

Source: Interview with Dr. Alan Snell, St. Vincent Health

St. Vincent Health hospital alone could potentially avoid $24m a year in CMS reimbursement penalties.

Coverage was not an issue, only 1 out of 60 patients had inadequate 3G-Coverage for videoconferencing.

Interoperability reduces the costs to integrate solutions into EMR or HIE exchange platform

5%

Key Learnings

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Case Study: Payor

Confidential – This information was prepared by PwC for the Continua Health Alliance board of directors and is restricted to that use and cannot be copied or shared without prior written consent of PwC.

Background

• Healthrageous delivers digital, self-management prevention and chronic condition health solutions.• Continua has the potential to reduce integration time from 2 – 3 months down to 1 month.• Currently working with 3 device integrators. With a higher prevalence of Continua standards,

Healthrageous could deal with a dozen device integrators without significant extra efforts.• Devices: A&D Blood Pressure Monitor UA-767PBT-C and A&D Weight Scale UC-321PBT-C

Source: Interview with Doug McClure

Time 8-12 Weeks

Man-weeks(1 FTE per integrator)

45

Non-Continua

4 Weeks

27

Continua

1 – 2 months shorter

integration time

18 man-weeks saved, or $41k

Device integrators

3

Dozens without extra

effortMore choice of

devices

$103k $62k

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… but 8 man-weeks corresponding to $18k could be saved per device with Continua guidelines

Case Study Payor: UnitedHealth

Confidential – This information was prepared by PwC for the Continua Health Alliance board of directors and is restricted to that use and cannot be copied or shared without prior written consent of PwC.

Background

• United Health offers over their company OptumHealth connected health solutions to their corporate customers. One example is the mobile app OptumizeMe.

• OptumizeMe engages and empowers consumers to achieve health goals, encourages healthy behavior, and allows users create health challenges with others.

• A non-Continua certified physical activity monitor have been integrated into the solution.

Source: Interview with Robert Hoy, United Health *Figures based on actual experience, **Estimates

Same initial development costs, …

• 7 man-weeks for development• 4.5 man-weeks for QA• Total 12 Weeks

Non-Continua*

• 7 man-weeks for development

• 4.5 man-weeks for QA• Total 12 Weeks

• 4 Weeks

Continua**

One time for initial device

Each new vendor/device

• Same as above

• 12 Weeks

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Summary of Case Study Data

Confidential – This information was prepared by PwC for the Continua Health Alliance board of directors and is restricted to that use and cannot be copied or shared without prior written consent of PwC.

Scenario Device Manufacturer / System Integrator

Healthcare Provider Healthcare Payor

Without Continua

• Qualcomm – 9 weeks• Vignet – 20 weeks• Japan – 12 weeks

• Ascension – would be like payors

• United Healthcare – 12 weeks

• Healthrageous – 12 weeks

With Continua

• Qualcomm – 3 weeks• Vignet – 8 weeks• Japan – 2 weeks

• Ascension – would be like payors

• United Healthcare – 4 weeks

• Healthrageous – 4 weeks

Savings • Qualcomm - $130K /device

• Vignet – $80K /device• Japan - $140K /device

• Ascension – would be like payors

• United Healthcare – $20K /device

• Healthrageous – $40K /device

Sources: PwC estimates and analysis based on the interviews

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Contact Us

On the web: www.continuaalliance.org

Twitter: @Continua

LinkedIn: Continua

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